NPI | 1518254077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009561) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 719437) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2021-03-29 |